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NCT06775886Terminated

Effect of Personalized Accelerated Pacing in Symptomatic Patients With Non-Obstructive Hypertrophic Cardiomyopathy

Source: ClinicalTrials.gov · Last updated 11 Feb 2026

Reason given: PI left the institution. IRB study closure date of 11/12/2025. IRB approved closeout on 2/6/2026.

Brief summary (registry, in English)

This will be a two-arm investigator-initiated randomized controlled study of patients with nHCM and LV ejection fraction ≥50% and NYHA II-III symptoms, normal intrinsic conduction system and pre-existing suitable dual-chamber implantable cardioverter defibrillators (ICD) systems. Patients will be randomly assigned to either personalized accelerated pacing (using the myPACE+ algorithm with mono-fractional exponent) or usual care groups. At baseline and after 3 months of pacing all patients will undergo a CPET, echocardiogram, blood work for NT-proBNP levels and complete the KCCQ-OSS and HCMSQ, questionnaires. The investigator team hypothesizes that personalized accelerated pacing will be safe and improve symptoms and heart-failure related quality of life, physical activity, pVO2, biomarkers (i.e. NT-proBNP), diastolic parameters and cardiac structure.

Status (registry)
Terminated
Study type
Interventional
Enrollment
1 (actual)
First submitted
9 Jan 2025
Start date
2 Oct 2025
Primary completion date
23 Oct 2025
Lead sponsor
Montefiore Medical Center
NCT number
NCT06775886

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other illness

  • Significant primary pulmonary disease on home oxygen
  • Uncontrolled hypertension as defined by BP >160/100 mmHg on two measurements ≥15 minutes apart

Lab values

  • LVEF <50%

Other

  • Pregnancy
  • LVOT gradient > 30mmHg at rest or with provocation
  • Prolonged PR > 250ms
  • Baseline RV-pacing burden of > 1% more than moderate valvular stenosis or regurgitation
  • Aortic valve replacement in the past one year

Who the study is looking for

  • Non obstructive HCM: Left Ventricular Outflow Tract (LVOT) gradient <30mmHg at rest and with provocation
  • Left ventricular ejection fraction (LVEF) ≥50%
  • New York Heart Association (NYHA II-III) symptoms
  • Normal intrinsic conduction system
  • Suitable dual-chamber implantable cardioverter defibrillators (ICD) system

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Save your city in your profile to sort them by distance.

SiteCityCountrySite status
Montefiore Medical CenterThe BronxUnited StatesUnknown status

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This page is information, not medical advice. Discuss any trial with your doctor.